Provider Demographics
NPI: | 1134466543 |
---|---|
Name: | HEALTHY HEARING ENTERPRISES |
Entity Type: | Organization |
Organization Name: | HEALTHY HEARING ENTERPRISES |
Other - Org Name: | PURETONE HEARING AID CENTER |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | ROGER |
Authorized Official - Middle Name: | ALAN |
Authorized Official - Last Name: | GARCIA |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | HIS |
Authorized Official - Phone: | 903-927-1111 |
Mailing Address - Street 1: | 1005 EAST GRAND AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | MARSHALL |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 75670 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 903-927-1111 |
Mailing Address - Fax: | 903-927-0086 |
Practice Address - Street 1: | 1005 EAST GRAND AVE |
Practice Address - Street 2: | |
Practice Address - City: | MARSHALL |
Practice Address - State: | TX |
Practice Address - Zip Code: | 75670 |
Practice Address - Country: | US |
Practice Address - Phone: | 903-927-1111 |
Practice Address - Fax: | 903-927-0086 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2013-01-07 |
Last Update Date: | 2023-06-01 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
OR | 50364 | 332S00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 332S00000X | Suppliers | Hearing Aid Equipment |